mber¡¡having¡¡an¡¡aneurism£»¡¡while¡¡others¡¡cut¡¡down¡¡upon¡¡the¡¡tumor¡¡itself¡¡and¡¡attempted¡¡to¡¡tie¡¡off¡¡the¡¡artery¡¡above¡¡and¡¡below¡£¡¡The¡¡first¡¡of¡¡these¡¡operations¡¡maimed¡¡the¡¡patient¡¡for¡¡life£»¡¡while¡¡the¡¡second¡¡was¡¡likely¡¡to¡¡prove¡¡fatal¡£
In¡¡pondering¡¡over¡¡what¡¡he¡¡had¡¡learned¡¡about¡¡collateral¡¡circulation¡¡and¡¡the¡¡time¡¡required¡¡for¡¡it¡¡to¡¡become¡¡fully¡¡established£»¡¡Hunter¡¡conceived¡¡the¡¡idea¡¡that¡¡if¡¡the¡¡blood¡supply¡¡was¡¡cut¡¡off¡¡from¡¡above¡¡the¡¡aneurism£»¡¡thus¡¡temporarily¡¡preventing¡¡the¡¡ceaseless¡¡pulsations¡¡from¡¡the¡¡heart£»¡¡this¡¡blood¡¡would¡¡coagulate¡¡and¡¡form¡¡a¡¡clot¡¡before¡¡the¡¡collateral¡¡circulation¡¡could¡¡become¡¡established¡¡or¡¡could¡¡affect¡¡it¡£¡¡¡¡The¡¡patient¡¡upon¡¡whom¡¡he¡¡performed¡¡his¡¡now¡¡celebrated¡¡operation¡¡was¡¡afflicted¡¡with¡¡a¡¡popliteal¡¡aneurismthat¡¡is£»¡¡the¡¡aneurism¡¡was¡¡located¡¡on¡¡the¡¡large¡¡popliteal¡¡artery¡¡just¡¡behind¡¡the¡¡knee¡joint¡£¡¡Hunter£»¡¡therefore£»¡¡tied¡¡off¡¡the¡¡femoral£»¡¡or¡¡main¡¡supplying¡¡artery¡¡in¡¡the¡¡thigh£»¡¡a¡¡little¡¡distance¡¡above¡¡the¡¡aneurism¡£¡¡The¡¡operation¡¡was¡¡entirely¡¡successful£»¡¡and¡¡in¡¡six¡¡weeks'¡¡time¡¡the¡¡patient¡¡was¡¡able¡¡to¡¡leave¡¡the¡¡hospital£»¡¡and¡¡with¡¡two¡¡sound¡¡limbs¡£¡¡Naturally¡¡the¡¡simplicity¡¡and¡¡success¡¡of¡¡this¡¡operation¡¡aroused¡¡the¡¡attention¡¡of¡¡Europe£»¡¡and£»¡¡alone£»¡¡would¡¡have¡¡made¡¡the¡¡name¡¡of¡¡Hunter¡¡immortal¡¡in¡¡the¡¡annals¡¡of¡¡surgery¡£¡¡¡¡The¡¡operation¡¡has¡¡ever¡¡since¡¡been¡¡called¡¡the¡¡¡¨Hunterian¡¨¡¡operation¡¡for¡¡aneurism£»¡¡but¡¡there¡¡is¡¡reason¡¡to¡¡believe¡¡that¡¡Dominique¡¡Anel¡¡£¨born¡¡about¡¡1679£©¡¡performed¡¡a¡¡somewhat¡¡similar¡¡operation¡¡several¡¡years¡¡earlier¡£¡¡It¡¡is¡¡probable£»¡¡however£»¡¡that¡¡Hunter¡¡had¡¡never¡¡heard¡¡of¡¡this¡¡work¡¡of¡¡Anel£»¡¡and¡¡that¡¡his¡¡operation¡¡was¡¡the¡¡outcome¡¡of¡¡his¡¡own¡¡independent¡¡reasoning¡¡from¡¡the¡¡facts¡¡he¡¡had¡¡learned¡¡about¡¡collateral¡¡circulation¡£¡¡Furthermore£»¡¡Hunter's¡¡mode¡¡of¡¡operation¡¡was¡¡a¡¡much¡¡better¡¡one¡¡than¡¡Anel's£»¡¡and£»¡¡while¡¡Anel's¡¡must¡¡claim¡¡priority£»¡¡the¡¡credit¡¡of¡¡making¡¡it¡¡widely¡¡known¡¡will¡¡always¡¡be¡¡Hunter's¡£
The¡¡great¡¡services¡¡of¡¡Hunter¡¡were¡¡recognized¡¡both¡¡at¡¡home¡¡and¡¡abroad£»¡¡and¡¡honors¡¡and¡¡positions¡¡of¡¡honor¡¡and¡¡responsibility¡¡were¡¡given¡¡him¡£¡¡In¡¡1776¡¡he¡¡was¡¡appointed¡¡surgeon¡extraordinary¡¡to¡¡the¡¡king£»¡¡in¡¡1783¡¡he¡¡was¡¡elected¡¡a¡¡member¡¡of¡¡the¡¡Royal¡¡Society¡¡of¡¡Medicine¡¡and¡¡of¡¡the¡¡Royal¡¡Academy¡¡of¡¡Surgery¡¡at¡¡Paris£»¡¡in¡¡1786¡¡he¡¡became¡¡deputy¡¡surgeon¡general¡¡of¡¡the¡¡army£»¡¡and¡¡in¡¡1790¡¡he¡¡was¡¡appointed¡¡surgeon¡general¡¡and¡¡inspector¡general¡¡of¡¡hospitals¡£¡¡All¡¡these¡¡positions¡¡he¡¡filled¡¡with¡¡credit£»¡¡and¡¡he¡¡was¡¡actively¡¡engaged¡¡in¡¡his¡¡tireless¡¡pursuit¡¡of¡¡knowledge¡¡and¡¡in¡¡discharging¡¡his¡¡many¡¡duties¡¡when¡¡in¡¡October£»¡¡1793£»¡¡he¡¡was¡¡stricken¡¡while¡¡addressing¡¡some¡¡colleagues£»¡¡and¡¡fell¡¡dead¡¡in¡¡the¡¡arms¡¡of¡¡a¡¡fellow¡physician¡£
LAZZARO¡¡SPALLANZANI
Hunter's¡¡great¡¡rival¡¡among¡¡contemporary¡¡physiologists¡¡was¡¡the¡¡Italian¡¡Lazzaro¡¡Spallanzani¡¡£¨1729¡1799£©£»¡¡one¡¡of¡¡the¡¡most¡¡picturesque¡¡figures¡¡in¡¡the¡¡history¡¡of¡¡science¡£¡¡He¡¡was¡¡not¡¡educated¡¡either¡¡as¡¡a¡¡scientist¡¡or¡¡physician£»¡¡devoting£»¡¡himself¡¡at¡¡first¡¡to¡¡philosophy¡¡and¡¡the¡¡languages£»¡¡afterwards¡¡studying¡¡law£»¡¡and¡¡later¡¡taking¡¡orders¡£¡¡But¡¡he¡¡was¡¡a¡¡keen¡¡observer¡¡of¡¡nature¡¡and¡¡of¡¡a¡¡questioning¡¡and¡¡investigating¡¡mind£»¡¡so¡¡that¡¡he¡¡is¡¡remembered¡¡now¡¡chiefly¡¡for¡¡his¡¡discoveries¡¡and¡¡investigations¡¡in¡¡the¡¡biological¡¡sciences¡£¡¡One¡¡important¡¡demonstration¡¡was¡¡his¡¡controversion¡¡of¡¡the¡¡theory¡¡of¡¡abiogenesis£»¡¡or¡¡¡¨spontaneous¡¡generation£»¡¨¡¡as¡¡propounded¡¡by¡¡Needham¡¡and¡¡Buffon¡£¡¡¡¡At¡¡the¡¡time¡¡of¡¡Needham's¡¡experiments¡¡it¡¡had¡¡long¡¡been¡¡observed¡¡that¡¡when¡¡animal¡¡or¡¡vegetable¡¡matter¡¡had¡¡lain¡¡in¡¡water¡¡for¡¡a¡¡little¡¡timelong¡¡enough¡¡for¡¡it¡¡to¡¡begin¡¡to¡¡undergo¡¡decompositionthe¡¡water¡¡became¡¡filled¡¡with¡¡microscopic¡¡creatures£»¡¡the¡¡¡¨infusoria¡¡animalculis¡£¡¨¡¡This¡¡would¡¡tend¡¡to¡¡show£»¡¡either¡¡that¡¡the¡¡water¡¡or¡¡the¡¡animal¡¡or¡¡vegetable¡¡substance¡¡contained¡¡the¡¡¡¨germs¡¨¡¡of¡¡these¡¡minute¡¡organisms£»¡¡or¡¡else¡¡that¡¡they¡¡were¡¡generated¡¡spontaneously¡£¡¡It¡¡was¡¡known¡¡that¡¡boiling¡¡killed¡¡these¡¡animalcules£»¡¡and¡¡Needham¡¡agreed£»¡¡therefore£»¡¡that¡¡if¡¡he¡¡first¡¡heated¡¡the¡¡meat¡¡or¡¡vegetables£»¡¡and¡¡also¡¡the¡¡water¡¡containing¡¡them£»¡¡and¡¡then¡¡placed¡¡them¡¡in¡¡hermetically¡¡scaled¡¡jarsif¡¡he¡¡did¡¡this£»¡¡and¡¡still¡¡the¡¡animalcules¡¡made¡¡their¡¡appearance£»¡¡it¡¡would¡¡be¡¡proof¡positive¡¡that¡¡they¡¡had¡¡been¡¡generated¡¡spontaneously¡£¡¡¡¡Accordingly¡¡be¡¡made¡¡numerous¡¡experiments£»¡¡always¡¡with¡¡the¡¡same¡¡resultsthat¡¡after¡¡a¡¡few¡¡days¡¡the¡¡water¡¡was¡¡found¡¡to¡¡swarm¡¡with¡¡the¡¡microscopic¡¡creatures¡£¡¡The¡¡thing¡¡seemed¡¡proven¡¡beyond¡¡questionproviding£»¡¡of¡¡course£»¡¡that¡¡there¡¡had¡¡been¡¡no¡¡slips¡¡in¡¡the¡¡experiments¡£
But¡¡Abbe¡¡Spallanzani¡¡thought¡¡that¡¡he¡¡detected¡¡such¡¡slips¡¡in¡¡Needham's¡¡experiment¡£¡¡¡¡The¡¡possibility¡¡of¡¡such¡¡slips¡¡might¡¡come¡¡in¡¡several¡¡ways£º¡¡¡¡the¡¡contents¡¡of¡¡the¡¡jar¡¡might¡¡not¡¡have¡¡been¡¡boiled¡¡for¡¡a¡¡sufficient¡¡length¡¡of¡¡time¡¡to¡¡kill¡¡all¡¡the¡¡germs£»¡¡or¡¡the¡¡air¡¡might¡¡not¡¡have¡¡been¡¡excluded¡¡completely¡¡by¡¡the¡¡sealing¡¡process¡£¡¡To¡¡cover¡¡both¡¡these¡¡contingencies£»¡¡Spallanzani¡¡first¡¡hermetically¡¡sealed¡¡the¡¡glass¡¡vessels¡¡and¡¡then¡¡boiled¡¡them¡¡for¡¡three¡quarters¡¡of¡¡an¡¡hour¡£¡¡Under¡¡these¡¡circumstances¡¡no¡¡animalcules¡¡ever¡¡made¡¡their¡¡appearancea¡¡conclusive¡¡demonstration¡¡that¡¡rendered¡¡Needham's¡¡grounds¡¡for¡¡his¡¡theory¡¡at¡¡once¡¡untenable¡££§2£§
Allied¡¡to¡¡these¡¡studies¡¡of¡¡spontaneous¡¡generation¡¡were¡¡Spallanzani's¡¡experiments¡¡and¡¡observations¡¡on¡¡the¡¡physiological¡¡processes¡¡of¡¡generation¡¡among¡¡higher¡¡animals¡£¡¡¡¡He¡¡experimented¡¡with¡¡frogs£»¡¡tortoises£»¡¡and¡¡dogs£»¡¡and¡¡settled¡¡beyond¡¡question¡¡the¡¡function¡¡of¡¡the¡¡ovum¡¡and¡¡spermatozoon¡£¡¡Unfortunately¡¡he¡¡misinterpreted¡¡the¡¡part¡¡played¡¡by¡¡the¡¡spermatozoa¡¡in¡¡believing¡¡that¡¡their¡¡surrounding¡¡fluid¡¡was¡¡equally¡¡active¡¡in¡¡the¡¡fertilizing¡¡process£»¡¡and¡¡it¡¡was¡¡not¡¡until¡¡some¡¡forty¡¡years¡¡later¡¡£¨1824£©¡¡that¡¡Dumas¡¡corrected¡¡this¡¡error¡£
THE¡¡CHEMICAL¡¡THEORY¡¡OF¡¡DIGESTION
Among¡¡the¡¡most¡¡interesting¡¡researches¡¡of¡¡Spallanzani¡¡were¡¡his¡¡experiments¡¡to¡¡prove¡¡that¡¡digestion£»¡¡as¡¡carried¡¡on¡¡in¡¡the¡¡stomach£»¡¡is¡¡a¡¡chemical¡¡process¡£¡¡¡¡In¡¡this¡¡he¡¡demonstrated£»¡¡as¡¡Rene¡¡Reaumur¡¡had¡¡attempted¡¡to¡¡demonstrate£»¡¡that¡¡digestion¡¡could¡¡be¡¡carried¡¡on¡¡outside¡¡the¡¡walls¡¡of¡¡the¡¡stomach¡¡as¡¡an¡¡ordinary¡¡chemical¡¡reaction£»¡¡using¡¡the¡¡gastric¡¡juice¡¡as¡¡the¡¡reagent¡¡for¡¡performing¡¡the¡¡experiment¡£¡¡The¡¡question¡¡as¡¡to¡¡whether¡¡the¡¡stomach¡¡acted¡¡as¡¡a¡¡grinding¡¡or¡¡triturating¡¡organ£»¡¡rather¡¡than¡¡as¡¡a¡¡receptacle¡¡for¡¡chemical¡¡action£»¡¡had¡¡been¡¡settled¡¡by¡¡Reaumur¡¡and¡¡was¡¡no¡¡longer¡¡a¡¡question¡¡of¡¡general¡¡dispute¡£¡¡Reaumur¡¡had¡¡demonstrated¡¡conclusively¡¡that¡¡digestion¡¡would¡¡take¡¡place¡¡in¡¡the¡¡stomach¡¡in¡¡the¡¡same¡¡manner¡¡and¡¡the¡¡same¡¡time¡¡if¡¡the¡¡substance¡¡to¡¡be¡¡digested¡¡was¡¡protected¡¡from¡¡the¡¡peristalic¡¡movements¡¡of¡¡the¡¡stomach¡¡and¡¡subjected¡¡to¡¡the¡¡action¡¡of¡¡the¡¡gastric¡¡juice¡¡only¡£¡¡He¡¡did¡¡this¡¡by¡¡introducing¡¡the¡¡substances¡¡to¡¡be¡¡digested¡¡into¡¡the¡¡stomach¡¡in¡¡tubes£»¡¡and¡¡thus¡¡protected¡¡so¡¡that¡¡while¡¡the¡¡juices¡¡of¡¡the¡¡stomach¡¡could¡¡act¡¡upon¡¡them¡¡freely¡¡they¡¡would¡¡not¡¡be¡¡affected¡¡by¡¡any¡¡movements¡¡of¡¡the¡¡organ¡£
Following¡¡up¡¡these¡¡experiments£»¡¡he¡¡attempted¡¡to¡¡show¡¡that¡¡digestion¡¡could¡¡take¡¡place¡¡outside¡¡the¡¡body¡¡as¡¡well¡¡as¡¡in¡¡it£»¡¡as¡¡it¡¡certainly¡¡should¡¡if¡¡it¡¡were¡¡a¡¡purely¡¡chemical¡¡process¡£¡¡He¡¡collected¡¡quantities¡¡of¡¡gastric¡¡juice£»¡¡and¡¡placing¡¡it¡¡in¡¡suitable¡¡vessels¡¡containing¡¡crushed¡¡grain¡¡or¡¡flesh£»¡¡kept¡¡the¡¡mixture¡¡at¡¡about¡¡the¡¡temperature¡¡of¡¡the¡¡body¡¡for¡¡several¡¡hours¡£¡¡After¡¡repeated¡¡experiments¡¡of¡¡this¡¡kind£»¡¡apparently¡¡conducted¡¡with¡¡great¡¡care£»¡¡Reaumur¡¡reached¡¡the¡¡conclusion¡¡that¡¡¡¨the¡¡gastric¡¡juice¡¡has¡¡no¡¡more¡¡effect¡¡out¡¡of¡¡the¡¡living¡¡body¡¡in¡¡dissolving¡¡or¡¡digesting¡¡the¡¡food¡¡than¡¡water£»¡¡mucilage£»¡¡milk£»¡¡or¡¡any¡¡other¡¡bland¡¡fluid¡£¡¨£§3£§¡¡Just¡¡why¡¡all¡¡of¡¡these¡¡experiments¡¡failed¡¡to¡¡demonstrate¡¡a¡¡fact¡¡so¡¡simple¡¡does¡¡not¡¡appear£»¡¡but¡¡to¡¡Spallanzani£»¡¡at¡¡least£»¡¡they¡¡were¡¡by¡¡no¡¡means¡¡conclusive£»¡¡and¡¡he¡¡proceeded¡¡to¡¡elaborate¡¡upon¡¡the¡¡experiments¡¡of¡¡Reaumur¡£¡¡¡¡He¡¡made¡¡his¡¡experiments¡¡in¡¡scaled¡¡tubes¡¡exposed¡¡to¡¡a¡¡certain¡¡degree¡¡of¡¡heat£»¡¡and¡¡showed¡¡conclusively¡¡that¡¡the¡¡chemical¡¡process¡¡does¡¡go¡¡on£»¡¡even¡¡when¡¡the¡¡food¡¡and¡¡gastric¡¡juice¡¡are¡¡removed¡¡from¡¡their¡¡natural¡¡environment¡¡in¡¡the¡¡stomach¡£¡¡In¡¡this¡¡he¡¡was¡¡opposed¡¡by¡¡many¡¡physiologists£»¡¡among¡¡them¡¡John¡¡Hunter£»¡¡but¡¡the¡¡truth¡¡of¡¡his¡¡demonstrations¡¡could¡¡not¡¡be¡¡shaken£»¡¡and¡¡in¡¡later¡¡years¡¡we¡¡find¡¡Hunter¡¡himself¡¡completing¡¡Spallanzani's¡¡experiments¡¡by¡¡his¡¡studies¡¡of¡¡the¡¡post¡mortem¡¡action¡¡of¡¡the¡¡gastric¡¡juice¡¡upon¡¡the¡¡stomach¡¡walls¡£
That¡¡Spallanzani's¡¡and¡¡Hunter's¡¡theories¡¡of¡¡the¡¡action¡¡of¡¡the¡¡gastric¡¡juice¡¡were¡¡not¡¡at¡¡once¡¡universally¡¡accepted¡¡is¡¡shown¡¡by¡¡an¡¡essay¡¡written¡¡by¡¡a¡¡learned¡¡physician¡¡in¡¡1834¡£¡¡In¡¡speaking¡¡of¡¡some¡¡of¡¡Spallanzani's¡¡demonstrations£»¡¡he¡¡writes£º¡¡¡¨In¡¡some¡¡of¡¡the¡¡experiments£»¡¡in¡¡order¡¡to¡¡give¡¡the¡¡flesh¡¡or¡¡grains¡¡steeped¡¡in¡¡the¡¡gastric¡¡juice¡¡the¡¡same¡¡temperature¡¡with¡¡the¡¡body£»¡¡the¡¡phials¡¡were¡¡introduced¡¡under¡¡the¡¡armpits¡£¡¡But¡¡this¡¡is¡¡not¡¡a¡¡fair¡¡mode¡¡of¡¡ascertaining¡¡the¡¡effects¡¡of¡¡the¡¡gastric¡¡juice¡¡out¡¡of¡¡the¡¡body£»¡¡for¡¡the¡¡influence¡¡which¡¡life¡¡may¡¡be¡¡supposed¡¡to¡¡have¡¡on¡¡the¡¡solution¡¡of¡¡the¡¡food¡¡would¡¡be¡¡secured¡¡in¡¡this¡¡case¡£¡¡¡¡The¡¡affinities¡¡connected¡¡with¡¡life¡¡would¡¡extend¡¡to¡¡substances¡¡in¡¡contact¡¡with¡¡any¡¡part¡¡of¡¡the¡¡system£º¡¡substances¡¡placed¡¡under¡¡the¡¡armpits¡¡are¡¡not¡¡placed¡¡at¡¡least¡¡in¡¡the¡¡same¡¡circumstances¡¡with¡¡those¡¡unconnected¡¡with¡¡a¡¡living¡¡animal¡£¡¨¡¡But¡¡just¡¡how¡¡this¡¡writer¡¡reaches¡¡the¡¡conclusion¡¡that¡¡¡¨the¡¡experiments¡¡of¡¡Reaumur¡¡and¡¡Spallanzani¡¡give¡¡no¡¡evidence¡¡that¡¡the¡¡gastric¡¡juice¡¡has¡¡any¡¡peculiar¡¡influence¡¡more¡¡than¡¡water¡¡or¡¡any¡¡other¡¡bland¡¡fluid¡¡in¡¡digesting¡¡the¡¡food¡¨£§4£§¡¡is¡¡difficult¡¡to¡¡understand¡£
The¡¡concluding¡¡touches¡¡were¡¡given¡¡to¡¡the¡¡new¡¡theory¡¡of¡¡digestion¡¡by¡¡John¡¡Hunter£»¡¡who£»¡¡as¡¡we¡¡have¡¡seen£»¡¡at¡¡first¡¡opposed¡¡Spallanzani£»¡¡but¡¡who¡¡finally¡¡became¡¡an¡¡ardent¡¡champion¡¡of¡¡the¡¡chemical¡¡theory¡£¡¡Hunter¡¡now¡¡carried¡¡Spallanzani's¡¡experiments¡¡further¡¡and¡¡proved¡¡the¡¡action¡¡of¡¡the¡¡digestive¡¡fluids¡¡after¡¡death¡£¡¡For¡¡many¡¡years¡¡anatomists¡¡had¡¡been¡¡puzzled¡¡by¡¡pathological¡¡lesion¡¡of¡¡the¡¡stomach£»¡¡found¡¡post¡¡mortem£»¡¡when¡¡no¡¡symptoms¡¡of¡¡any¡¡disorder¡¡of¡¡the¡¡stomach¡¡had¡¡been¡¡evinced¡¡during¡¡life¡£¡¡Hunter¡¡rightly¡¡conceived¡¡that¡¡these¡¡lesions¡¡were¡¡caused¡¡by¡¡the¡¡action¡¡of¡¡the¡¡gastric¡¡juice£»¡¡which£»¡¡while¡¡unable¡¡to¡¡act¡¡upon¡¡the¡¡living¡¡tissue£»¡¡continued¡¡its¡¡action¡¡chemically¡¡after¡¡death£»¡¡thus¡¡digesting¡¡the¡¡walls¡¡of¡¡the¡¡stomach¡¡in¡¡which¡¡it¡¡had¡¡been¡¡formed¡£¡¡¡¡And£»¡¡as¡¡usual¡¡with¡¡his¡¡observations£»¡¡be¡¡turned¡¡this¡¡discovery¡¡to¡¡practical¡¡use¡¡in¡¡accounting¡¡for¡¡certain¡¡phenomena¡¡of¡¡digestion¡£¡¡¡¡The¡¡following¡¡account¡¡of¡¡the¡¡stomach¡¡being¡¡digested¡¡after¡¡death¡¡was¡¡written¡¡by¡¡Hunter¡¡at¡¡the¡¡desire¡¡of¡¡Sir¡¡John¡¡Pringle£»¡¡when¡¡he¡¡was¡¡president¡¡of¡¡the¡¡Royal¡¡Society£»¡¡and¡¡the¡¡circumstance¡¡which¡¡led¡¡to¡¡this¡¡is¡¡as¡¡follows£º¡¡¡¨I¡¡was¡¡opening£»¡¡in¡¡his¡¡presence£»¡¡the¡¡body¡¡of¡¡a¡¡patient¡¡of¡¡his¡¡own£»¡¡where¡¡the¡¡stomach¡¡was¡¡in¡¡part¡¡dissolved£»¡¡which¡¡appeared